Blepharoplasty with Fat Transposition

Blepharoplasty with Fat Transposition | San Antonio, TX

Eyelid surgery, or blepharoplasty, is one of the top 5 cosmetic surgical procedures in the US. A relatively straightforward procedure, traditional blepharoplasty eliminates excess skin from the upper and lower eyelids, giving them a more youthful, rejuvenated appearance.

An alternative eyelid surgery growing in popularity is blepharoplasty with fat transposition. By strategically harvesting and repositioning the fatty tissue that surrounds the patient’s eyes, expert plastic surgeons are able to achieve stunning anti-aging results similar to traditional blepharoplasty.

Here, Dr. Jose Barrera of San Antonio, Texas, discusses blepharoplasty with fat transposition. To better understand which procedure best suits your aesthetic goals, we recommend an in-person or virtual consultation with Dr. Barrera. 

What Is Blepharoplasty with Fat Transposition?

Blepharoplasty with fat transposition is a surgical cosmetic procedure that helps rejuvenate the appearance of a patient’s eyes by volumizing and accentuating certain areas surrounding the eyes with fatty tissue harvested from the patient.  

The fat transposition technique involves taking excess fat from the lower eyelid area and repositioning it to the upper eyelid area to create a fuller and more youthful look. This technique can also help improve the overall appearance of the eye by filling in hollow areas and smoothing out wrinkles and fine lines.

What Is the Difference Between Traditional Blepharoplasty and Blepharoplasty with Fat Transposition?

While both traditional blepharoplasty and blepharoplasty with fat transposition are procedures that help the eyes appear better rested and more youthful, there are some notable differences between each procedure.

Traditional blepharoplasty involves the complete removal of excess skin and fat from the eyelids to smooth the area and create a more youthful and rested appearance. Your surgeon will make an incision in your eyelid’s natural crease or just below the lash line (to conceal potential scarring). They will then remove any excess skin, and then close the incision with sutures. This technique is effective at removing excess skin and fat, but it does not address the issue of hollowing or a sunken appearance in the eyelid area.

However, blepharoplasty with fat transposition involves harvesting and repositioning fat from the lower eyelid area to the upper eyelid area. This creates a more volumized, more youthful appearance while also helping improve the overall appearance of the eye by filling in hollow areas and smoothing out wrinkles and fine lines.

In many instances, both traditional blepharoplasty and blepharoplasty with fat transposition are performed together to procedure optimal results.

Who Is a Good Candidate for Blepharoplasty with Fat Transposition?

Upper and lower blepharoplasty with fat transposition is an ideal procedure for patients who wish to improve their eyelids’ appearance and achieve a more youthful, rejuvenated countenance.

Ideal candidates for blepharoplasty with fat transposition are those who are in good overall health and have realistic expectations about the outcome of the procedure. If you fall into one or more of the following categories, then you’re likely a good candidate for blepharoplasty with fat transposition:

  • Have excess or sagging skin in the upper or lower eyelids
  • Have puffiness or bags under the eyes
  • Have a sunken or hollow appearance around the eyes
  • Are bothered by the appearance of wrinkles, fine lines, or dark circles around the eyes
  • Are non-smokers or willing to quit before and after the surgery to optimize healing and results

What Can I Expect During the Recovery from Blepharoplasty with Fat Transposition?

Recovery from blepharoplasty with fat transposition is typically a straightforward affair. If patients follow their surgeons’ directions and take time to get the necessary rest during the several days immediately following the procedure, then patients are normally back to their regular routines about a week following the procedure.

It’s normal to experience some minor swelling and bruising for several weeks after the surgery, which is managed by medication prescribed by your surgeon. Ice packs and cold compresses are also fantastic for reducing swelling and bruising after the treatment.

Patients should keep their heads elevated while sleeping, should not touch their eyes (including using contact lenses), and avoid exposure to bright sun until the incisions have healed and any sutures have been removed or dissolved.

Blepharoplasty with Fat Transposition in San Antonio, TX

Blepharoplasty with fat transposition helps patients enjoy a far more rested, youthful, and refreshed looking appearance. Patients also experience very high levels of satisfaction with their procedure, making it an ideal choice for anyone concerned about the aging or hollow appearance of their eyes. For a non-committal consultation, contact Dr. Jose Barrera via his online form or by calling (210) 468-5426 to discuss blepharoplasty in San Antonio.

Blepharoplasty with Fat Transposition FAQs

Under-eye blepharoplasty with fat repositioning involves moving the fatty pads in the lower eyelid inwards and towards the tear ducts. This physically fill a commonly hollow-looking part of the eye, producing a more youthful, better-rested appearance.

Eye bag removal surgery permanently removes unwanted fatty pads in the eyes. It is possible that new orbital fat will form if the patients puts on extra weight in the future.

Patients who suffer from persistent or chronic dry-eye, hypertension, and blood circulation or thyroid disorders are not ideal candidates for blepharoplasty with fat transposition. If you suffer from any of these ailments and wish to explore blepharoplasty, talk with your surgeon to see what choices are available and recommended for you.


The final results from fat transfer blepharoplasty reveal themselves about two to three months after the procedure—after the entire area has healed, all bruising and swelling has resolved, and the fatty tissue has had the chance to set and secure itself.